Medicare Advantage, Medicare Part D, and Medicare Fee-For-Service Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey (CMS-R-246)

Forms and Documents

Document Name	Status
Form CMS-R-246 Medicare Advantage (MA) Survey Form and Instruction	Modified
Form CMS-R-246 MA-PDP Survey Form and Instruction	Modified
Form CMS-R-246 Fee-For-Service (FFS) Survey Form and Instruction	Modified
Form CMS-R-246 MA and PDP Contracts Form and Instruction	Removed
MCAHPS - Crosswalk 2017 - 032718 CLEAN.xlsx Supplementary Document	2018-04-05
CMS-R-246 - Supporting Statement A - Passback2 - 032218 CLEAN.docx Supporting Statement A	2018-04-05
CMS-R-246 - Supporting Statement B.docx Supporting Statement B	2017-07-17
Response_to_Comments_60_FRN_CMS-R-246.docx Supplementary Document	2017-07-17

IC Document Collections

IC ID	Document Title	Status
8404	Medicare Advantage (MA) Survey Form and Instruction	Modified
194258	MA-PDP Survey Form and Instruction	Modified
194257	Fee-For-Service (FFS) Survey Form and Instruction	Modified
194256	MA and PDP Contracts Form and Instruction	Removed

ICR Details

OMB Control No: 0938-0732	ICR Reference No: 201706-0938-003
Status: Active	Previous ICR Reference No: 201505-0938-006
Agency/Subagency: HHS/CMS	Agency Tracking No: CM-CPC
Title: Medicare Advantage, Medicare Part D, and Medicare Fee-For-Service Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey (CMS-R-246)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 04/05/2018
	Date Received in OIRA: 07/18/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2021	36 Months From Approved	07/31/2018
Responses	799,650	0	800,249
Time Burden (Hours)	192,113	0	310,086
Cost Burden (Dollars)	0	0	2,995,000

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Abstract: CMS has fielded the MA (Consumer Assessment of Health Care Providers and Systems) CAHPS Survey annually since 1998, the Medicare FFS CAHPS Survey annually since 2000, and the MA DP and Stand Alone PDP CAHPS survey annually since 2006. The Medicare CAHPS is a national survey of health and prescription drug plans conducted at the contract level for MA, MA PD and Stand Alone PDP plans and at the state level for Medicare fee-for-service. Medicare CAHPS provides data to permit preparation of plan performance measures to assist Medicare beneficiaries in their selection of a health and/or prescription drug plan and help policymakers and others assist the Medicare program and Medicare plans design and monitor patient-centered quality improvement initiatives. The 2009 Call letter for MA and MA PD plans requires these plans to contract with private vendors from a list selected by CMS to conduct the 2011 Medicare CAHPS survey for their plan at the contract level and provide the collected data to CMS for analyses and preparation of CAHPS measures for use in consumer and plan reports and for quality improvement purposes for MA, MA PD, and Stand Alone PDP plans. CMS will continue to collect the Medicare FFS CAHPS data from surveys at the state and some sub-state levels. This revision to a currently approved collection is to add questions focusing on care coordination. The Medicare CAHPS survey has taken the OMB No. 0935-0732.

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Authorizing Statute(s): PL: Pub.L. 108 - 173 1860D Name of Law: Information to Facilitate Enrollment
  

Citations for New Statutory Requirements: None

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EO 13771 Designation: Deregulatory

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 38187	06/13/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 32708	07/17/2017
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 3

IC Title	Form No.	Form Name
Medicare Advantage (MA) Survey	CMS-R-246	Medicare Advantage Plan Survey
Fee-For-Service (FFS) Survey	CMS-R-246	Fee-For-Service (FFS) Survey
MA-PDP Survey	CMS-R-246	Prescription Drug Plan Survey
MA and PDP Contracts	CMS-R-246, CMS-R-246	MA-only Survey ,   MA-PD Survey

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	799,650	800,249	0	0	-599	0
Annual Time Burden (Hours)	192,113	310,086	0	-85,627	-32,346	0
Annual Cost Burden (Dollars)	0	2,995,000	0	0	-2,995,000	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Changing Forms

Short Statement: Due to a reduction in survey content, the burden to Medicare beneficiaries to complete a CAHPS survey has gone down: MA burden is 0.25 hour and the stand-alone PDP and FFS survey burdens are 0.17 and 0.25 hours, respectively. Compared to prior survey burden of 0.4 for MA, 0.25 for stand-along PDP, and 0.3 for FFS. The overall burden has been reduced by 85,627 hours. Changes to the survey content are demonstrated in the respective Crosswalks which are attached to this package. The burden to MA and PDP contracts has been moved from Supporting Statement section 12 (Burden Estimates) to its proper place in section 13 (Capital Costs). The cost per contract has not changed from the currently approved estimate. However, because Capital Costs are not added to the ROCIS burden table, this change adjusts our burden estimate by minus 32,346 hr and $2,995,000.

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Annual Cost to Federal Government: $6,000,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 07/18/2017

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